Use this sheet to put what matters to you into words before a perimenopause or menopause appointment. You can use it for a first conversation or a follow-up, even if you are unsure whether your symptoms are related to menopause.
Jot down whatever feels useful on paper or in your own notes. You do not need to fill in every section or keep a diary before seeking care. Keep your notes somewhere private and share them with your clinician when you choose.
Last updated 30 October 2026
On this page
My appointment notes
1. What matters most to me
What are the two or three things I most want to talk about? What would I like help to change or understand?
My priorities:
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For example: “I’m waking during the night and finding work harder the next day. I’d like help with my sleep.”
2. What has changed
What have I noticed, when did it start, and how is it affecting my day? Include period or bleeding changes if relevant; approximate dates are fine.
Changes and their impact:
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3. What I want my clinician to know
Have handy your medicines and supplements, including doses, allergies, relevant health history and any available results. Include what you have tried and whether it helped or caused problems. You can use an existing list.
Things to mention or have available:
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4. What I want to ask
You can ask about a particular option or ask your clinician to recommend a starting point. Consider what you want to understand about possible causes, benefits, downsides or how an option fits your life.
My questions or preferences:
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5. My next steps after the appointment
Before finishing, check that you understand the plan. Ask who will arrange any tests or follow-up, how you will receive results, and what changes should prompt earlier help.
What we agreed and who will do what:
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Follow-up timing, contact and questions still to discuss:
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When to seek help sooner
Symptoms can have causes other than menopause. Arrange medical assessment for bleeding after menopause, bleeding after sex, or unusually heavy or prolonged bleeding. Seek urgent care for severe abdominal or pelvic pain or sudden, severe changes in mental health. Call 000 for a medical emergency, including chest pain or severe difficulty breathing. Do not wait to finish this sheet.
See Australian Government advice on getting help and healthdirect’s postmenopause guidance.